home
RSS
March 16th, 2011
10:30 AM ET

What should I expect after COPD diagnosis?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society.

Question asked by Pamela of Nashville, Tennessee:

I just learned that I have chronic obstructive pulmonary disease (COPD) and emphysema. Can you tell me about it and what the prognosis is? I also have coronary artery disease and have had stents placed.

Expert answer:

Dear Pamela,

Chronic obstructive pulmonary disease, or COPD, is a disease that truly negatively affects quality of life. Patients with COPD are prone to asthma-like wheezing, breathlessness, chest tightness and coughing that can occur in episodes caused by chromic inflammation. They're also prone to viral and bacterial infections.

It is the fourth most common cause of death in the United States, killing an estimated 120,000 people each year.

While COPD is most noted for episodes of shortness of breath and wheezing, the disease is typically slowly progressive and persistent. Medical treatment can be successful in relieving symptoms and reducing the severity of exacerbations.

Treatment is with inhaled bronchodilators, steroids to reduce inflammation and other oral medications.

Breathing problems? Check them with this test

Early diagnosis and good treatment are important as they can reduce the number and severity of exacerbations and prolong survival. Some people can live with this condition for several decades.

More than 80% of patients with COPD have a history of cigarette smoking. A few patients have it because of chemical inhalation exposure. Most are overweight or obese. Weight loss can also occur in severe COPD and is a sign of severe disease with a poor prognosis.

At one time, we distinguished different types of COPD, emphysema and chronic bronchitis. All patients with COPD have an element of each, although one component will usually predominate in the individual patient.

Chronic bronchitis is defined by a chronic cough that produces sputum. Emphysema is defined by enlargement and destruction of the airspaces in the lung.

When the physician examines a patient with very severe COPD one finds decreased breath sounds, wheezes, crackles at the lungs, and distant heart sounds. The patient's diaphragm in limited in movement, meaning the patient cannot take in deep breaths. In extremely severe disease, the chest size is increased.

Patients lean forward to use all the muscles of the chest and neck to bring air in. COPD can progress to cause heart failure, as the right side of the heart cannot pump blood into the damaged lungs.

Could your job be hurting your lungs?

Physicians use pulmonary function tests to assess the severity of COPD. These are tests to measure how fast it take a patient to fully exhale air, how much air he can exhale in one second, how much air he can inhale. X-ray and especially CT scans can also be used to assess damage to the lungs.

The arterial blood gases are a series of blood tests to determine how much oxygen and carbon dioxide is in the blood. As the disease worsens oxygenation goes down and carbon dioxide levels rise. Blood gas abnormalities acutely worsen during COPD exacerbations and often worsen during exercise and sleep.

Because most patients have a significant smoking history, most patients have many of the other illnesses associated with smoking, especially cardiovascular disease. These patients also have high risk for smoking related malignancies.

Unfortunately, poor lung function often interferes with or prevents treatment of the other diseases.

 


soundoff (2,928 Responses)
  1. Eufemia Fechner

    Hurrah, that's what I was seeking for, what a material! existing here at this blog, thanks admin of this website.|

    https://crackpropc.com/bulk-image-downloader-crack/

    February 5, 2021 at 21:18 | Report abuse | Reply
  2. Samuel Hanneman

    I enjoy reading an article that will make men and women think. Also, many thanks for allowing for me to comment!|

    https://hellocrack.com/jixipix-photo-formation-crack/

    February 5, 2021 at 21:18 | Report abuse | Reply
  3. Kimbra Krause

    Hey There. I found your blog using msn. This is an extremely well written article. I will be sure to bookmark it and come back to read more of your useful info. Thanks for the post. I will certainly return.|

    https://homecracks.com/kaspersky-total-security-crack/

    February 5, 2021 at 21:19 | Report abuse | Reply
  4. Dania Mainella

    Excellent post. I was checking continuously this blog and I am impressed! Extremely helpful info specially the last part 🙂 I care for such info a lot. I was looking for this particular info for a very long time. Thank you and good luck.|

    https://homecracks.com/sketchup-pro-crack/

    February 5, 2021 at 21:19 | Report abuse | Reply
  5. Angelo Schlabach

    Howdy would you mind letting me know which web host you're working with? I've loaded your blog in 3 different internet browsers and I must say this blog loads a lot faster then most. Can you suggest a good internet hosting provider at a honest price? Kudos, I appreciate it!|

    https://crackpropc.com/

    February 5, 2021 at 21:21 | Report abuse | Reply
  6. Diego Lavani

    I like the valuable information you provide in your articles. I will bookmark your weblog and check again here frequently. I am quite certain I'll learn plenty of new stuff right here! Good luck for the next!|

    https://www79.zippyshare.com/v/K0gBYTPB/file.html

    February 5, 2021 at 23:53 | Report abuse | Reply
  7. Peter Mathewson

    Hey there, You've done a fantastic job. I'll certainly digg it and personally recommend to my friends. I am confident they'll be benefited from this web site.|

    http://www.docspal.com/viewer?id=cajmjdyv-17977357

    February 5, 2021 at 23:54 | Report abuse | Reply
  8. Dirk Huyard

    Pretty! This has been a really wonderful article. Thanks for providing these details.|

    https://www.wattpad.com/user/hubermullins16

    February 5, 2021 at 23:54 | Report abuse | Reply
  9. Gilberto Maki

    When I originally left a comment I seem to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I recieve four emails with the same comment. Is there a means you are able to remove me from that service? Many thanks!|

    https://articlescad.com/get-it-before-anyone-else-find-cool-innovative-gift-tips-on-the-web-505723.html

    February 5, 2021 at 23:55 | Report abuse | Reply
  10. Hien Jahoda

    It's an amazing post for all the online people; they will get advantage from it I am sure.|

    https://articlescad.com/3-fat-tips-help-you-lose-fast-403107.html

    February 5, 2021 at 23:55 | Report abuse | Reply
  11. John Copeland

    Thanks very nice blog!|

    https://falkenbergburke99.mystrikingly.com/blog/some-within-the-best-in-order-to-do-with-your-ipad

    February 5, 2021 at 23:56 | Report abuse | Reply
  12. Clementine Abbington

    Good info. Lucky me I found your blog by accident (stumbleupon). I've book-marked it for later!|

    https://crackpropc.com/mathematica-crack/

    February 6, 2021 at 00:16 | Report abuse | Reply
  13. Ardelia Dias

    Its like you read my mind! You appear to know so much about this, like you wrote the book in it or something. I think that you could do with some pics to drive the message home a little bit, but other than that, this is magnificent blog. An excellent read. I will certainly be back.|

    https://crackpropc.com/wondershare-recoverit-crack/

    February 6, 2021 at 00:17 | Report abuse | Reply
  14. Everett Pineault

    Wow that was unusual. I just wrote an incredibly long comment but after I clicked submit my comment didn't show up. Grrrr... well I'm not writing all that over again. Anyhow, just wanted to say excellent blog!|

    https://homecracks.com/sublime-text-crack-key/

    February 6, 2021 at 00:17 | Report abuse | Reply
  15. Laotwc

    international dating regarding Men

    in the case of affairs, on the net personals is transformed all the rules. But in certain techniques it remains roughly the same as personals offline. exactly way too many watering holes since clubs there is also a exorbitant ratio of men to the opposite sex in the case of online dating service. So in the event you do discovered a potential going out with woman, you must do your very best to stand above the crowd. With online dating service personals that can cause roughly the same as being placed in a athletic field stuffed with tens of millions of individuals; which one furthermore more or less all had been bearing exactly the same top that you've got up.

    quality carry out to point the odds in your favor since conduct her attraction but it's advantageous to begin with just a few as to not get overpowered.

    If you haven't done so absolutely be positive all your personal photographic movies because you since you can. featuring only the face may hold many females guessing a person camouflaging something. what? the point that all of may very well not be to notice. encouraging the in full watch displays to a woman back as they check out will be they locate. while a few a woman takes a pass; more could very well welcome your corporation obtaining advance.

    also a thing to, Try to make sure the picture could be described as of only you personal. there is not much need for somebody that uses a group picture / video of these profile or maybe disembodied part used that joint on the fact this is the best you will cause this located showing the picture. refrain from the player player image in addition,as well as. good one just where it your company cradling or becoming hugged by- one of these the ladies. brides reading that photograph will probably ask when everything what what you are doing fooling out there utilizing online dating?you need an vanity help there are times. not so much as a result of raging golden technologies but just must be individuals reassurance. then go ahead and don't hesitate to distribute the flatters. get them to be motivated and have used them moderately. most likely overboard could quite possibly bring about the alarm system alarms. the woman might imagine you have been phony or just sly. in any event apply certain constraint.

    within run away from the between the sheets harmonize with. declaring that in video chnlove scam item why beautiful my mom pondered for that rare decorate isn't going to do certainly not put together her leery associated with carrying on contact at hand. yes some kind of a lot of women want it but including that people females will not be in a hurry to setup a meeting if your primary libido has taken gathering place position in the net chitchat.

    persistence you also

    some men meet a woman online and should be ready to meet and lover. which build pressuring the sweetheart to build which is first knowledge the soonest possible time otherwise before. This can make a lot of women apprehensive. work to quantify just her level of comfort could in addition to execute known as. is actually understand to bake an occasional main advice around meeting high. basically,just exactly don't be relentless measurements. or perhaps detects reveal associated with understanding it should no place within move on. However for everybody who is over to something and may hang within than ones to be patient may be honored.

    The internet dating world that has increased like for example people inspiration manageable but it is tough for few men since they exceed ladies from a lopsided perimeter. nonetheless it is anything but despairing. in many cases it really requires the right get near. make use of the guidance previously mentioned and at the very least trust yourself. There is most people; signifies there are a few moms within the who are a whole lot intrigued by what you offer.

    February 6, 2021 at 00:40 | Report abuse | Reply
  16. Maurine Soleman

    Link exchange is nothing else but it is simply placing the other person's blog link on your page at appropriate place and other person will also do similar in favor of you.|

    https://crackpropc.com/uc-browser-crack/

    February 6, 2021 at 02:54 | Report abuse | Reply
  17. Rigoberto Manrique

    Good article. I definitely love this site. Stick with it!|

    https://homecracks.com/ableton-live-crack-2/

    February 6, 2021 at 02:55 | Report abuse | Reply
  18. Bobbye Mccamant

    Hey there just wanted to give you a brief heads up and let you know a few of the pictures aren't loading properly. I'm not sure why but I think its a linking issue. I've tried it in two different internet browsers and both show the same results.|

    https://homecracks.com/driver-genius-pro-crack-keygen/

    February 6, 2021 at 02:57 | Report abuse | Reply
  19. Leila Grunin

    Hello, I think your website may be having web browser compatibility issues. When I look at your web site in Safari, it looks fine but when opening in IE, it's got some overlapping issues. I just wanted to provide you with a quick heads up! Other than that, excellent site!|

    https://crackpropc.com/sidify-music-converter-crack/

    February 6, 2021 at 02:57 | Report abuse | Reply
  20. Dominick Rehler

    When some one searches for his required thing, therefore he/she wants to be available that in detail, therefore that thing is maintained over here.|

    https://crackpropc.com/twixtor-pro-crack/

    February 6, 2021 at 02:58 | Report abuse | Reply
  21. Dorsey Bohley

    Wow, wonderful blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your web site is excellent, let alone the content!|

    https://dailyuploads.net/om09igox7bt8

    February 6, 2021 at 09:13 | Report abuse | Reply
  22. Edmundo Purslow

    I just couldn't leave your website before suggesting that I really loved the usual info a person provide for your visitors? Is going to be back frequently to check out new posts|

    https://topsitenet.com/article/795544-second-job-ideas-the-top-2-concepts-for-making-money-the-world/

    February 6, 2021 at 09:13 | Report abuse | Reply
  23. Gail Schwalen

    I could not refrain from commenting. Very well written!|

    http://www.associazionehombre.it/index.php?option=com_k2&view=itemlist&task=user&id=2146392

    February 6, 2021 at 09:13 | Report abuse | Reply
  24. Kristin Krutsch

    Good post. I learn something totally new and challenging on blogs I stumbleupon every day. It will always be helpful to read through content from other authors and practice a little something from other sites. |

    https://www.openlearning.com/u/guldageradams8/blog/SamsungE900SmartSliderCameraPhone

    February 6, 2021 at 09:16 | Report abuse | Reply
  25. Gail Estrado

    There's definately a great deal to know about this topic. I love all of the points you made.|

    http://www.feedbooks.com/user/6918897/profile

    February 6, 2021 at 09:16 | Report abuse | Reply
  26. Eveline Deubner

    Hi it's me, I am also visiting this web site regularly, this site is actually good and the viewers are truly sharing fastidious thoughts.|

    https://bit.dev/daughertydecker8/

    February 6, 2021 at 09:16 | Report abuse | Reply
  27. Britta Seed

    You really make it appear so easy along with your presentation but I find this matter to be actually something which I think I'd never understand. It seems too complicated and very large for me. I am taking a look ahead for your subsequent submit, I will attempt to get the grasp of it!|

    https://www.evernote.com/shard/s432/sh/01b5c58c-c7b0-dee1-f48a-10829f447b35/a003898f011628afaaaa3aca9f9aa67d

    February 7, 2021 at 03:33 | Report abuse | Reply
  28. Bryant Frisby

    Heya i'm for the first time here. I found this board and I find It truly helpful & it helped me out a lot. I'm hoping to give something again and aid others such as you helped me.|

    https://bit.dev/urquhartparsons67/

    February 7, 2021 at 03:34 | Report abuse | Reply
  29. Arron Loken

    Do you have a spam problem on this website; I also am a blogger, and I was wondering your situation; we have created some nice practices and we are looking to exchange strategies with others, be sure to shoot me an email if interested.|

    http://www.associazionehombre.it/index.php?option=com_k2&view=itemlist&task=user&id=2146116

    February 7, 2021 at 03:34 | Report abuse | Reply
  30. Rolando Golightley

    Today, I went to the beach front with my kids. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!|

    https://www.goodreads.com/user/show/128419153-vincent

    February 7, 2021 at 03:36 | Report abuse | Reply
  31. Judson Cannan

    I am sure this paragraph has touched all the internet people, its really really nice post on building up new web site.|

    http://www.docspal.com/viewer?id=jkixcyui-17964742

    February 7, 2021 at 03:37 | Report abuse | Reply
  32. Malika Wohlgemuth

    What's up, I check your new stuff regularly. Your story-telling style is witty, keep doing what you're doing!|

    http://forum.giderosmobile.com/profile/cracksetup1122

    February 7, 2021 at 04:26 | Report abuse | Reply
  33. Buster Wachs

    My brother suggested I might like this web site. He was entirely right. This post truly made my day. You cann't imagine just how much time I had spent for this info! Thanks!|

    https://apps.derstandard.at/userprofil/persoenliches

    February 7, 2021 at 04:28 | Report abuse | Reply
  34. Ashlea Simek

    First of all I would like to say fantastic blog! I had a quick question that I'd like to ask if you do not mind. I was curious to find out how you center yourself and clear your head before writing. I have had a hard time clearing my mind in getting my ideas out. I truly do take pleasure in writing but it just seems like the first 10 to 15 minutes are usually lost just trying to figure out how to begin. Any recommendations or hints? Many thanks!|

    https://n4g.com/user/home/cracksetup1122

    February 7, 2021 at 04:28 | Report abuse | Reply
  35. Lucio Llanes

    Oh my goodness! Incredible article dude! Thank you, However I am having problems with your RSS. I don't understand the reason why I am unable to join it. Is there anybody else having identical RSS issues? Anyone who knows the solution will you kindly respond? Thanx!!|

    https://www.bizjournals.com/myaccount?market=louisville

    February 7, 2021 at 04:35 | Report abuse | Reply
  36. Mica Bormes

    Hi, I want to subscribe for this blog to take latest updates, therefore where can i do it please assist.|

    https://codecanyon.net/user/cracksetup1122

    February 7, 2021 at 04:35 | Report abuse | Reply
  37. Iona Zaharis

    Hi would you mind sharing which blog platform you're using? I'm going to start my own blog in the near future but I'm having a tough time deciding between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design and style seems different then most blogs and I'm looking for something completely unique. P.S Apologies for being off-topic but I had to ask!|

    https://www.e1.ru/profile/264552721/

    February 7, 2021 at 04:40 | Report abuse | Reply
  38. Victor Sterns

    These are truly great ideas in regarding blogging. You have touched some nice things here. Any way keep up wrinting.|

    https://list.ly/bradshawnorton27ivuukp

    February 7, 2021 at 06:43 | Report abuse | Reply
  39. Delbert Calvino

    Hi! I could have sworn I've been to this site before but after reading through some of the post I realized it's new to me. Anyways, I'm definitely delighted I found it and I'll be bookmarking and checking back often!|

    https://telegra.ph/Use-A-Doctor-Rating-Any-Physician-01-16

    February 7, 2021 at 06:44 | Report abuse | Reply
  40. Mitchel Kearney

    Great post! We are linking to this great content on our website. Keep up the good writing.|

    https://www.indiegogo.com/individuals/25649539

    February 7, 2021 at 06:44 | Report abuse | Reply
  41. Gussie Lulas

    It's an amazing post in support of all the web people; they will take benefit from it I am sure.|

    https://www.indiegogo.com/individuals/25666876

    February 7, 2021 at 06:45 | Report abuse | Reply
  42. Evia Freelon

    Greetings! Very useful advice in this particular post! It is the little changes that will make the greatest changes. Many thanks for sharing!|

    https://www.goodreads.com/user/show/128246631-molloy

    February 7, 2021 at 06:45 | Report abuse | Reply
  43. Corinna Kolts

    Its like you read my mind! You appear to know so much about this, like you wrote the book in it or something. I think that you can do with some pics to drive the message home a bit, but other than that, this is excellent blog. A fantastic read. I'll certainly be back.|

    https://wanelo.co/gravesfrazier46

    February 7, 2021 at 06:46 | Report abuse | Reply
  44. Ilda Gallosa

    This is very interesting, You're a very skilled blogger. I've joined your rss feed and look forward to seeking more of your fantastic post. Also, I have shared your website in my social networks!|

    https://cme.dmu.edu/user

    February 7, 2021 at 14:17 | Report abuse | Reply
  45. Roseann Houey

    What i don't realize is actually how you're not really a lot more neatly-favored than you might be now. You are so intelligent. You already know thus considerably in the case of this matter, made me individually imagine it from numerous various angles. Its like women and men don't seem to be interested until it's something to do with Woman gaga! Your own stuffs outstanding. At all times deal with it up!|

    http://forum.ragezone.com/members/2000313048.html

    February 7, 2021 at 14:19 | Report abuse | Reply
  46. Johnie Suozzo

    Hi! Do you know if they make any plugins to assist with SEO? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good results. If you know of any please share. Kudos!|

    https://odaibako.net/settings/basic

    February 7, 2021 at 14:19 | Report abuse | Reply
  47. Christy Aukerman

    Magnificent beat ! I would like to apprentice at the same time as you amend your site, how can i subscribe for a weblog website? The account aided me a acceptable deal. I have been a little bit familiar of this your broadcast offered shiny transparent concept|

    https://www.bloglovin.com/@httpsmuzamilpccom

    February 7, 2021 at 14:23 | Report abuse | Reply
  48. Cole Mcwilliams

    {

    https://www.scoop.it/u/asfand-yar-sohail-2

    February 7, 2021 at 14:23 | Report abuse | Reply
  49. Ralph Matthees

    Attractive element of content. I just stumbled upon your blog and in accession capital to claim that I acquire actually loved account your blog posts. Any way I will be subscribing to your feeds and even I achievement you get admission to constantly fast.|

    https://influence.co/asfandboss

    February 7, 2021 at 14:23 | Report abuse | Reply
  50. Jewel Falley

    Can I just say what a comfort to find someone who genuinely understands what they are discussing over the internet. You definitely realize how to bring a problem to light and make it important. More and more people need to look at this and understand this side of your story. It's surprising you aren't more popular given that you most certainly have the gift.|

    https://guyhines90.wordpress.com/2021/01/14/fashion-design-careers-learn-the-right-way-to-get-your-career-in-fashion-started/

    February 7, 2021 at 16:05 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58

Leave a Reply to Samuel Hanneman


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.